{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T21:20:07Z","timestamp":1792790407954,"version":"4.5.0"},"reference-count":22,"publisher":"Scientific Scholar","issue":"04","license":[{"start":{"date-parts":[[2019,9,26]],"date-time":"2019-09-26T00:00:00Z","timestamp":1569456000000},"content-version":"vor","delay-in-days":1273,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Neurosciences in Rural Practice"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>\n          Background: Africa has very few neurosurgeons. These are almost exclusively in urban centers. Consequently, people in rural areas, most of the African population, have poor or no access to neurosurgical care. We have recently pioneered rural neurosurgery in Nigeria. Objectives: This report details our initial experiences and the profile of neurosurgical admissions in our center. Methods: A prospective observational study of all neurosurgical patients managed at a rural tertiary health institution in Nigeria from December 2010 to May 2012 was done. Simple descriptive data analysis was performed. Results: A total of 249 males (75.2%) and 82 females (24.8%) were managed. The median age was 37 years (range: Day of birth \u2013 94 years). Trauma was the leading cause of presentation with 225 (68.0%) and 35 (10.6%) having sustained head and spinal injuries, respectively. Operative intervention was performed in 54 (16.3%). Twenty-four (7.2%) patients discharged against medical advice, mostly for economic reasons. Most patients (208, 63.4%) had satisfactory outcome while 30 (9.1%) died. Conclusion: Trauma is the leading cause of rural neurosurgical presentations. There is an urgent need to improve access to adequate neurosurgical care in the rural communities.<\/jats:p>","DOI":"10.4103\/0976-3147.188624","type":"journal-article","created":{"date-parts":[[2016,8,18]],"date-time":"2016-08-18T10:40:03Z","timestamp":1471516803000},"page":"485-488","source":"Crossref","is-referenced-by-count":24,"title":["Neurosurgery in rural Nigeria: A prospective study"],"prefix":"10.25259","volume":"7","author":[{"given":"Taopheeq Bamidele","family":"Rabiu","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Neurological Surgery, Federal Medical Centre, Ido-Ekiti, Nigeria"},{"name":"Department of Surgery, Division of Neurological Surgery, Lautech Teaching Hospital, Osogbo, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward Oluwole","family":"Komolafe","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Neurological Surgery, Federal Medical Centre, Ido-Ekiti, Nigeria"},{"name":"Department of Surgery, Division of Neurological Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile.Ife, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2019,9,26]]},"reference":[{"key":"key-10.4103\/0976-3147.188624-1","unstructured":"World Health Organization. The Global Burden of Disease: 2004 Update. Geneva: World Health Organization; 2008. p. 39-49."},{"key":"key-10.4103\/0976-3147.188624-2","first-page":"893","volume-title":"Burden of surgical disease: Does the literature reflect the scope of the international crisis?","author":"Taira","year":"2009","journal-title":"World J Surg"},{"key":"key-10.4103\/0976-3147.188624-3","unstructured":"Debas HT, Gosselin R, McCord C, Thind A. Surgery. In: Disease control priorities in developing countries. 2nd ed. New York: Oxford University Press; 2006. p. 1245-60."},{"key":"key-10.4103\/0976-3147.188624-4","unstructured":"Bellagio Essential Surgery Group. Improving Access to Surgery in Sub-Saharan Africa. 2007. Available from: http:\/\/www.dcp2.org\/file\/137\/Bellagio%20Report%20-%20Increasing%20Access%20to%20Surgical%20Services.pdf. [Last accessed on 2012 Dec 12]."},{"key":"key-10.4103\/0976-3147.188624-5","doi-asserted-by":"crossref","unstructured":"Dechambenoit G. Action Africa! World Neurosurg 2010;73:251-3.","DOI":"10.1016\/j.wneu.2010.02.046"},{"key":"key-10.4103\/0976-3147.188624-6","first-page":"403","volume-title":"A place for neurosurgery in a developing country?","author":"de","year":"1996","journal-title":"Surg Neurol"},{"key":"key-10.4103\/0976-3147.188624-7","first-page":"254","volume-title":"African neurosurgery, the 21st-century challenge","author":"El-Fiki","year":"2010","journal-title":"World Neurosurg"},{"key":"key-10.4103\/0976-3147.188624-8","first-page":"276","volume-title":"The African experience: A proposal to address the lack of access to neurosurgery in rural Sub-Saharan Africa","author":"Park","year":"2010","journal-title":"World Neurosurg"},{"key":"key-10.4103\/0976-3147.188624-9","first-page":"e91","volume-title":"Brain surgery in the bush: Adapting techniques and technology to fit the developing world","author":"Vargas","year":"2013","journal-title":"World Neurosurg"},{"key":"key-10.4103\/0976-3147.188624-10","unstructured":"United Nations. Department of Economic and Social Affairs, Population Division. World Urbanization Prospects, the 2011 Revision: Highlights. New York; 2012."},{"key":"key-10.4103\/0976-3147.188624-11","first-page":"53","volume-title":"Rural neurotrauma in Australia: Implications for surgical training","author":"Bishop","year":"2006","journal-title":"ANZ J Surg"},{"key":"key-10.4103\/0976-3147.188624-12","first-page":"7","volume-title":"Transforming trauma healthcare delivery in rural areas by use of an integrated call center","author":"Agrawal","year":"2012","journal-title":"J Emerg Trauma Shock","ISSN":"https:\/\/id.crossref.org\/issn\/0974-2700","issn-type":"print"},{"key":"key-10.4103\/0976-3147.188624-13","unstructured":"Emejulu JK, Osuafor C, Ogbuagu CN. Audit of the demographic pattern of neurosurgical cases in a tertiary health institution: The need to relate service delivery to disease profile in dwindling resources and manpower shortage. AJNS 2009;28."},{"key":"key-10.4103\/0976-3147.188624-14","first-page":"258","volume-title":"Central nervous system congenital anomalies: A prospective neurosurgical observational study from Nigeria","author":"Adeleye","year":"2009","journal-title":"Congenit Anom (Kyoto)"},{"key":"key-10.4103\/0976-3147.188624-15","first-page":"251","volume-title":"Epidemiology of neurotrauma in Ife-Ijesha zone of Nigeria","author":"Adeolu","year":"2013","journal-title":"World Neurosurg"},{"key":"key-10.4103\/0976-3147.188624-16","first-page":"212","volume-title":"Pattern of head injuries in Malta (EU): A small Mediterranean Island","author":"Agius","year":"2012","journal-title":"Br J Neurosurg"},{"key":"key-10.4103\/0976-3147.188624-17","first-page":"38","volume-title":"Investigation of epidemiology of neurotrauma in the Republic of Guinea","author":"Beavogi","year":"2011","journal-title":"Zh Vopr Neirokhir Im N N Burdenko"},{"key":"key-10.4103\/0976-3147.188624-18","first-page":"911","volume-title":"Outcome of myelomeningocoele repair in sub-Saharan Africa: The Nigerian experience","author":"Idowu","year":"2008","journal-title":"Acta Neurochir (Wien)"},{"key":"key-10.4103\/0976-3147.188624-19","first-page":"2115","volume-title":"Awareness of spina bifida and periconceptional use of folic acid among pregnant women in a developing economy","author":"Rabiu","year":"2012","journal-title":"Childs Nerv Syst"},{"key":"key-10.4103\/0976-3147.188624-20","first-page":"383","volume-title":"Epidemiological patterns of head injury in a newly established neurosurgical service: One-year prospective study","author":"Emejulu","year":"2008","journal-title":"Afr J Med Med Sci"},{"key":"key-10.4103\/0976-3147.188624-21","first-page":"264","volume-title":"The pattern of neurosurgical disorders in rural Northern Tanzania: A prospective hospital-based study","author":"Winkler","year":"2010","journal-title":"World Neurosurg"},{"key":"key-10.4103\/0976-3147.188624-22","first-page":"537","volume-title":"Increasing access to surgical services for the poor in rural Haiti: Surgery as a public good for public health","author":"Ivers","year":"2008","journal-title":"World J Surg"}],"container-title":["Journal of Neurosciences in Rural Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/0976-3147.188624.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,3]],"date-time":"2022-10-03T15:17:14Z","timestamp":1664810234000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.4103\/0976-3147.188624"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,4]]},"references-count":22,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2019,9,26]]},"published-print":{"date-parts":[[2016,4]]}},"URL":"https:\/\/doi.org\/10.4103\/0976-3147.188624","relation":{},"ISSN":["0976-3147","0976-3155"],"issn-type":[{"value":"0976-3147","type":"print"},{"value":"0976-3155","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,4]]}}}